Intervenção da Terapia Ocupacional no desempenho ocupacional na sexualidade de pessoas com lesão medular: relato de caso

Sexuality is a broad and complex process, natural to individuals but, after a spinal cord injury, various physical, emotional and social problems can compromise the satisfactory performance of sexual activity. This article reports the effects of an occupational therapeutic program on the sexuality of two individuals with spinal cord injury, based on quality of life, occupational performance and sexual function. The intervention protocol consisted of health education and discussion on Spinal Cord Injury and sexuality; exercises to strengthen the upper limbs, core and pelvic floor. Simulations of sexual positions considered difficult to execute were also carried out. The research was carried out between January and March 2017. For the analysis of the results, descriptive statistics were used with measures of central tendency, delta and percentage to evaluate the patients in the pre and post intervention. There was a significant improvement in quality of life, in the occupational performance and in the sexual function after the Occupational therapy intervention.